PHOENIX

Back To Home Page

PRIVACY STATEMENT


Hint: (use the tab keys to go to each field)
* Indicates a Required Entry
Best Time To Call? *
How did you hear about us? (Dept. or Cert  # on letter or print ad)

*

Home Phone: 999-999-9999 *
Your Full Name: *
Social Security #: 999-99-9999 *
Co-Borrower / Spouses Full Name:    
Co-Borrower Social Security #:    
Your E-mail address:    
Subject property street address:    
City: *
State:    
Zip:    
County:    

Information About Your Income
Employer:
Position:
Gross monthly income:
Other monthly income:
Years employed at current employer
Years in this line of work
Work Phone

Information About Co-Borrower Income

Employer:
Position:
Gross monthly income:
Other monthly income:
Years employed at current employer
Years in this line of work
Work Phone

Information About Your Home
Total money needed:
Years at current residence:
Current market value:
Balance of first mortgage:
Balance of second mortgage:
(if applicable)
 

Authorization to Release Information

I/we hereby authorize you to release to Phoenix Funding and/or its assigns any and all information that they may require for the purpose of a credit transaction. I/we also authorize you to make a photo copy or facsimile as authorization. If you agree with the above please click the submit button below:

   

 

Thank you for completing this application. Phoenix Funding.